GU system meds Flashcards
G: nitrofurandantoin
B: Macrodantin
Classification/Action
broad spectrum urinary antiseptic, bacteriorstatic and bactericidal
Notes
For acute lower UTI and prophylaxis for recurrent UTI’s; give with food
SE: darkening of urine; rash, H/A, dizziness; peripheral neuropathy
G: TMP-SMZ
B: Bactrim, Septra
Classification/Action
broad spectrum bacteriostatic and bacteriacidal; SMZ a sulfa drug
Notes
SE: can cause crystaluria so keep pt well hydrated; can cause blood dyscrasias; also kernicterus in newborn so avoid in pregnancy
G: phenazopyridine
B: Pyridium
Classification/Action
urinary analgesic; for reflief of pain, burning r/t lower urinary tract mucosal irritation
Notes
only use for 2 days if antibiotic is used
SE: GI disturb, rash; turns urine reddish orange, stains fabric
G: bethanechol
B: Urecholine
Classification/Action
bladder muscle stimulant; promotes bladder contraction, emptying (cholinergic effect)
Notes
tx of urinary retention
SE: (due to cholinergic/muscarinic effects) decr BP, Decr P, Incr salivation, diarrhea, bronchoconstriction, asthma flare-up
G: oxybutynin
B: Ditropan
Classification/Action
bladder muscle relaxant; antispasmodic (anticholinergic effect)
Notes
Tx of OAB
SE: (due to anticholinergic/antimuscarinic effects) dry mouth, dry eyes, blurred vision, constipation, urinary retention
G: solifenacin
B: VESIcare
Classification/Action
bladder muscle relaxant, anti-spasmodic (anticholinergic effect)
Notes
Tx of OAB
SE: (due to anticholinergic/antimuscarinic effects) dry mouth, dry eyes, blurred vision, constipation, urinary retention
G: finasteride
B: Proscar; Propecia
Classification/Action
androgen inhibitor; for tx of BPG (also hair regrowth stimulant
Notes
decr PSA levels, so monitor PSA level prior to starting tx (incr PSA level could r/t protate CA)
SE: ED
G: dutasteride
B: Avodart
Classification/Action
androgen inhibitor; for tx of BPG
Notes
decr PSA levels, so monitor PSA level prior to starting tx (incr PSA level could r/t protate CA)
SE: ED, gynecomastia
G: tamsulosin
B: Flomax
Classification/Action
alpha blocker, relaxes smooth muscle of bladder neck, urethra,; for tx of BPH
Notes
decr dynamic obstruction of urethra in BPH pt
SE: orthostatic hypotension, dizziness
G: sidenafil
B: Viagra
Classification/Action
Erectile dysfunction agent
Notes
avoid if taking nitrates (can cause dangerous drop in BP)
SE: H/A, flushing, decr BP, priapism
G: furosemide
B: Lasix
Classification/Action
loop diuretic; produces strong diuresis; for tx of HTN and HF
Notes
enc increase K foods
SE: dehydration, hypotension, diarrhea, hypokalemia w/ weakness, muscle/leg cramping
G: spironolactone
B: Aldactone
Classification/Action
K sparing diuretic, aldosterone antagonist; causes mild diuresis; used in tx of HTN, HF
Notes
SE: H/A, hyperkalemia w/weakness
G: potassium chloride
B: K-Dur
Classification/Action
oral potassium replacement supplement
Notes
assess for hypokalemia, hyperkalemia (labs, weakness, fatigue, dysrhymthias. Note addition precuactions for KCl IV administration
SE:
G: allopurinol
B: Zyloprim
Classification/Action
anti-hyperuricemic, anti-gout; decr uric acid (urates)
Notes
helps prevent uric acid crystallization in urinary systems; use with incr fluid intake; to help keep urine alkaline; avoid ASA
SE: rash, fever (D/C med)
